Toddler Suddenly Unable to Walk

Updated on June 28, 2012
L.I. asks from Philadelphia, PA
10 answers

My 21 month old boy hasn't been able to walk for 5 days now. He cries and touches his hips and knees. We have gave him children advil for the pain. My husband and I have been in and out the emergency room with him for the past few days. His pediatrician thought he had transient synovitis at first but he hasn't recover from that yet if that was the case. He has gotten worse since that diagnosis. Started after he woke from a nap. He was just playing on the floor for a long time then he gave a few steps, but he was limping from one leg then he didn't want to walk. Now He can't even put both feet on the ground and stand on his own. He has had some blood test that indicate an inflammation. Also, an ultrasound of his hips and legs that showed no fluid in there. In a couple of days he will get an MRI of the spinal cord. We are just waiting very worried. The doctors say he could have just the transient synovitis, but it's taking longer to heal. But the fact that he has gotten worse may indicate some neurological problem. Has anyone had a similar experience with their child? Please Any idea

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So What Happened?

Thank you all so much for your quick response. He did have an ear infection 3 weeks before he stopped walking. Also ear inflammation just a couple of days before. His ears are fine now. He also had a fever 3 days ago. He has been seen by a few different pediatricians at the children hospital and an orthopedic specialist that ruled out an infection in his hips. He didn't know what was wrong.

Im sorry for taking so long to give you all an update. It's been a very busy couple of weeks with James. His got an MRI of his hips and right leg that showed that he has osteomylitis which is an infection in his bones, femur and pelvis. He has been hospitalized for over a week now. He was given some powerful IV antibiotics. Thankfully, he is getting better! A couple of days ago he was able to stand on his own:) today he got a Picc IV line. "permanent" because he will need IV antibiotics for at least 3 or 4 more weeks. Then he can have oral ones. The tratment is long because bone infections take quite a while to cure. So far he has been in playful and happy. Poor little him has a hard time when the nurses and doctors check him, but it's all necessary. According to everything we've been told he is going to get all better and is going to be running around getting his shoes on and giving me mine so I hurry to the park very soon.

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E.T.

answers from Albuquerque on

My brother had something similar 25 years ago. His lasted for a few weeks and after extensive testing, the doctors determined that he had a virus in his hips. It was basically like a cold virus that had settled in his joints. Once it went away he was fine. No lasting symptoms at all. Hang in there. It sounds like you son is getting good medical care. I would agree with everyone else, though, to ask about what to take for the inflammation.

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D.B.

answers from Chicago on

Get a second opinion. Find a pediatric specialist in early childhood diseases. I wouldn't wait. That has to be so scary. Good luck, I will say a prayer for you.

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B.C.

answers from Norfolk on

I heard of a case once where a child (5 yr old I think) developed a rare bone virus and could not walk for 6 months.
He went from a running active kid to being wheel chair bound.
And then it suddenly cleared up and he got up unexpectedly and just walked fine just like nothing was ever wrong.
Hang in there!

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V.W.

answers from Jacksonville on

I understand how scary it it. Our son had a similar episode when he was about 5 yrs old. And it happened while we were away from home. We too, took him to the ER after 2 days, deciding that he wasn't just sore or stiff or having growing pains, etc. Our son was not in pain EXCEPT when he tried to stand. Otherwise he was fine.

ER said pretty much the same thing yours has, except they never even gave us the "transient synovitis" or "toxic synovitis" suggestion. They had no clue what it was. Did lots of blood work, etc. No ideas. But, while we were there, they did give him some Advil, and we gave him a Powerade, as by that point some of his electrolytes etc were a tad off, but not enough to "cause" anything (he'd had a cold just prior and was drinking only water and not eating normally). At some point during the waiting in the treatment room (3 hours or so?) my son tried to stand up and was just fine. No more problems. It was all very strange. This was 10 years ago.

I did pull up transient synovitis on wikipedia, just to see (again) what it says about it. And it does say that it can last for 7-10 days. It is also described as a diagnosis of exclusion, meaning that they can't diagnose it until they have excluded every other possible diagnosis. There is no "test" for it.

I would suggest, laymen here, not a doctor, that it is in fact what your son has. Have they or you given your son any medication for the inflammation? I would be sure to give him something for that specifically--ask what to give him specifically for inflammation. Maybe it's advil for children. Maybe there is something else they may recommend for your son, and hopefully, he will recover before you go forward with the MRI and it will be unnecessary. That is a lot of trauma for a young child. And it is very scary as the parent.
We were fortunate, in that our son recovered while in the ER, so we never were faced with having to do more and more and more invasive testing. Just the blood draws (which were like torture for our son as it was).
Please let us know in another day or so how he is doing.

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001976/

ETA:
According to this: http://emedicine.medscape.com/article/1007186-followup#a2646 patients taking anti-inflammatories (ibuprofen, or naproxen) basically cut the duration of the symptoms in half, 2 days vs. 4.5 days.

ETA again: Forgot to ask--Did your son have a cold recently? There are only 2 things that "typically" are reported before transient synovitis. Some sort of trauma to the hip and having just had a cold/virus. Just a common respiratory infection or ear infection...nothing special. My son had a cold just before he was affected by this. Has your son had a cold? Even a mild one? Or an ear infection?

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S.H.

answers from Honolulu on

If he has arthritis, he will also probably have swelling of some kind.
Does he?

Systemic inflammation, can also occur as a result of some types of infections and other conditions.

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A.B.

answers from Pittsburgh on

So sorry you're going through this. How scary!

Has he had any recent vaccinations or other medications? If so, be sure to mention that to your doctor also.

Keep us posted...

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M.M.

answers from Detroit on

That is so scary -- I am so sorry. I second others' recommendation to go to a children's hospital. They will be more knowledgable and hopefully will be able to get you a diagnosis faster. Good luck, and hugs.

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D.T.

answers from Harrisburg on

Just a thought....doctors usually don't think about this, might want to suggest the possibility of juvenile artheritis? It's the first thought I had when you mentioned hip and knee. Google search it for more information. Hope he is better soon!!

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K.S.

answers from Minneapolis on

You need to seek additional opinions. If you haven't already, call the children's hospital in your area and explain what is going on and that you want to have him seen ASAP. Doctors at a children's hospital deal with the unusual much more than your average ped. Good luck and hugs to you. This must be scary for both of you.

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M.C.

answers from Washington DC on

Is it possible that he pinched a nerve? I agree that you should go to Children's hospital. Why are they waiting so long for an MRI?

Sending healing prayers.

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